Individual provider Active NPI

Nawras Salamh Shukair, MD

  • Psychiatry Physician
  • Worcester, MA
National Provider Identifier
1205030483
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
239917 Issued in MA
Practice address
26 Queen St
Psychiatric Treatment and Recovery Center
Worcester, MA 01610-2473
Phone
(508) 856-6580
Fax
(508) 334-2780
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME160929 FL
Psychiatry Physician 2084P0800X 70546 CT
Psychiatry Physician 2084P0800X M-17027 ID
Psychiatry Physician 2084P0800X 25MA11299800 NJ
Psychiatry Physician 2084P0800X DR.0074697 CO
Psychiatry Physician 2084P0800X 042.0015694 VT
Psychiatry Physician 2084P0800X 64825 AZ
Psychiatry Physician 2084P0800X MD61368209 WA
Psychiatry Physician 2084P0800X 325121 NY
Psychiatry Physician 2084P0800X U2014 TX
Psychiatry Physician 2084P0800X 239917 MA Primary

Addresses

Primary practice location

26 Queen St
Psychiatric Treatment and Recovery Center
Worcester, MA 01610-2473

Mailing address

PO Box 415348
Boston, MA 02241-5348

Other identifiers 1

IdentifierTypeStateIssuer
110084102AMedicaidMA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nshukair23737@UmassMemorial.direct-ci.com
FHIR URL https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, AZ, NJ, VT, WA, NY, TX, CO8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20090831000670 MA Practitioner - Psychiatry 1951456789 Reassigns benefits to 7 organizations
I20220315001955 AZ Practitioner - Psychiatry 1951456789 Reassigns benefits to 1 organization
I20220514000009 NJ Practitioner - Psychiatry 1951456789 Reassigns benefits to 1 organization
I20220809000423 VT Practitioner - Psychiatry 1951456789 Reassigns benefits to 1 organization
I20221110002149 WA Practitioner - Psychiatry 1951456789 Reassigns benefits to 2 organizations
I20230804002780 NY Practitioner - Psychiatry 1951456789 Reassigns benefits to 1 organization
I20240219003205 TX Practitioner - Psychiatry 1951456789 Reassigns benefits to 1 organization
I20250129003130 CO Practitioner - Psychiatry 1951456789 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians

Practice addresses (Care Compare)

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7748

1455 NW Leary Way
Suite 400
Seattle, WA 98107-5138
Phone (646) 450-7748

225 Cedar Hill St
Suite 200
Marlborough, MA 01752-5900
Phone (646) 450-7748

81 Highland Ave
Salem, MA 01970-2714
Phone (978) 354-2551

Hospital & facility affiliations

  • North Shore Medical Center - Hospital, Salem, MA, CCN 220035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Healthlink Inc CurrentSince Apr 21, 2019 Accepting new patients
T Massachusetts, LLC CurrentSince May 31, 2019 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC Psychiatry CurrentSince Oct 16, 2023 Accepting new patients
Lifepoint Behavioral Health Physician Services LLC CurrentSince Oct 16, 2023 Accepting new patients
Multicare Health System CurrentSince Jan 27, 2023 Accepting new patients
Valera Medical, P.a. Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
North Shore Medical Center, Inc. Current Accepting new patients
Hallmark Health System Inc Psychiatry CurrentSince Feb 17, 2024 Accepting new patients
Valera Medical, P.C. Psychiatry CurrentSince Jan 1, 2022 Accepting new patients
Multicare Health System Family Medicine CurrentSince Jan 27, 2023 Accepting new patients
Umass Memorial Medical Group Inc Family Medicine CurrentSince Jul 1, 2009 Accepting new patients
Umass Memorial Medical Group, Inc. CurrentSince Jul 1, 2009 Accepting new patients
Melrosewakefield Healthcare, Inc. Current Accepting new patients
Multicare Health System Current Accepting new patients
Mass General Brigham Medical Group Northern Massachusetts Inc CurrentSince Nov 17, 2023 Accepting new patients
Community Healthlink, Inc. CurrentSince Apr 21, 2019 Accepting new patients
Melrosewakefield Healthcare, Inc. CurrentSince Feb 17, 2024 Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients

Locations

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

1 Hutchinson Dr
Danvers, MA 01923
Phone (978) 739-6950

45 Lower Westfield Rd
Holyoke, MA 01040
Phone (413) 315-4100

40 Spruce St
#2
Leominster, MA 01453
Phone (978) 534-6116

157 Union St
Marlborough, MA 01752
Phone (508) 481-5000

225 Cedar Hill St
Ste 200
Marlborough, MA 01752
Phone (617) 863-9090

170 Governors Ave
Medford, MA 02155
Phone (781) 306-6000

81 Highland Ave
Salem, MA 01970
Phone (978) 354-4009

72 Jaques Ave
Worcester, MA 01610
Phone (508) 860-1154

100 Century Dr
Worcester, MA 01606
Phone (508) 762-5400

335 Chandler St
Worcester, MA 01602
Phone (508) 753-2967

55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862

55 Lake Ave N
Ofc
Worcester, MA 01655

26 Queen St
Worcester, MA 01610
Phone (508) 860-7700

221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902

134 N 4th St
Ofc 2168
Brooklyn, NY 11249

134 N 4th St
Brooklyn, NY 11249

139 Centre St
Ste 824
New York, NY 10013
Phone (646) 450-7751

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

325 E Pioneer
Puyallup, WA 98372
Phone (253) 445-8120

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Interoperability endpoints

  • Direct secure messaging: shukair.nawras.nsmc@direct.partners.masshiway.net
  • Direct secure messaging: nshukair23737@umassmemorial.direct-ci.com

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 19

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1205030483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 QUEEN ST",
            "address_2": "PSYCHIATRIC TREATMENT AND RECOVERY CENTER",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016102473",
            "telephone_number": "508-856-6580",
            "fax_number": "508-334-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUKAIR",
        "first_name": "NAWRAS",
        "middle_name": "SALAMH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME160929",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "70546",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ID",
            "license": "M-17027",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11299800",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "DR.0074697",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VT",
            "license": "042.0015694",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "64825",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD61368209",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "325121",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U2014",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "239917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110084102A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nshukair23737@UmassMemorial.direct-ci.com",
            "affiliation": "N",
            "address_1": "26 Queen St",
            "address_2": "Psychiatric Treatment and Recovery Center",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016102473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "26 Queen St",
            "address_2": "Psychiatric Treatment and Recovery Center",
            "city": "Worcester",
            "state": "MA",
            "country_code": "US",
            "postal_code": "016102473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.